Individual
JUBIN JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-4924
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-4924
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
296356
NY
Other
Enumeration date
04/02/2014
Last updated
07/07/2020
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